Organization
LCHCS DBA WILSON AND MCCORMACK SURGICAL SERVICES
Active
Parent organization
LCHCS DBA WILSON AND MCCORMACK SURGICAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
LCHCS DBA WILSON AND MCCORMACK SURGICAL SERVICES
Authorized official
MR. WILLIS J GRANT IV (VP AND CFO OF LCHCS)
(864) 833-3976
Entity
Organization
Contact information
Practice address
1012 MEDICAL RIDGE RD, CLINTON, SC 29325-4542
(864) 833-3852
Mailing address
1012 MEDICAL RIDGE RD, CLINTON, SC 29325-4542
(864) 833-3852
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
33343
SC
208600000X
Surgery Physician
33377
SC
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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